Patrice Anthia Moulton, LPC
NPI #1003359761 in Bloomfield, Connecticut
Provider Information
- NPI Number
- 1003359761
- Entity Type
- Individual
- Name
- Patrice Anthia Moulton, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Nov 29, 2016
- Last Updated
- Dec 12, 2019
Practice Location
- Address
- 3 NORTHWESTERN DR
- City
- Bloomfield
- State
- Connecticut
- ZIP Code
- 06002-3465
- Phone
- (860) 243-3477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
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